Search PubMed⌕ Search

Biomedical subjects

Yvonne M Sterling

Publications and source records attributed to Yvonne M Sterling.

5 recordsLinked to original sources
PubMed2005

Lessons learned from a longitudinal qualitative family systems study.

Methodological issues encountered during all phases of a longitudinal qualitative family systems study are described. This article focuses on (1) separate researchers and sites, (2) recruitment and retention of study participants, (3) data collection concerns, (4) family variances, (5) conflicting roles of nurse and researcher, and (6) family disengagement. Achieving and maintaining scientific rigor in longitudinal qualitative studies can be challenging if consistent attention is not given to issues that surface during all phases of the study. From these experiences, guidelines for researchers involved in similar studies are presented.

Adult↗
PubMed2002

Explanatory models of asthma from African-American caregivers of children with asthma.

Explanatory models (EMs) were collected from 20 African-American adult primary caregivers, in Seattle and New Orleans, who have children with asthma, to understand asthma from their perspective. Family EMs of asthma shed light on the meaning family members give to the illness, and how they make internally logical decisions related to their healthcare behavior. Study findings show that families have their own EMs of asthma. Families draw on their cultural context to understand asthma. They compare their lived experience with healthcare-provider explanations of asthma. Specifically, the African-American families in this study drew much of their information about asthma from other family members and from personal experience. Collecting EMs of asthma may help healthcare providers know the meaning of asthma as understood by specific families and may reduce unscheduled use of health services. Further research should include encounters which increase the healthcare provider's context for understanding patient and family EMs.

Adult↗
PubMedDate not supplied

Characteristics of African American women caregivers of children with asthma.

PURPOSE: To describe the attributes and characteristics of African American women who were the primary caregivers of children with asthma. METHODS: Descriptive qualitative ethnography. Data collection consisted of formal interviews, participant observation, and fieldnotes. Each study participant was formally and informally interviewed (audiotaped) during a 1-year period. The researchers also observed and participated in family activities in various naturalistic settings. RESULTS: Six themes emerged that depict the characteristics of these women: (1) Knowledge about the child's asthma; (2) Gatekeepers to the child's care; (3) Being religious; (4) Support; (5) Roles as teacher, counselor, and advisor to the child; and (6) Self-sufficiency and industriousness. CLINICAL IMPLICATIONS: Nurses should use the information in this study to examine the ways in which they interact with caregivers of asthmatic children. The caregivers personal beliefs, need for information, and previous experiences with asthma and family illness should be assessed. These mothers and grandmothers should be respected as the gatekeeper to the family's healthcare. Nurses should be nonjudgmental and supportive of caregivers when they express their religious beliefs and practices. Nurses who understand how mothers cope can reinforce these coping skills and provide better nursing care.

Adaptation, Psychological↗
PubMedDate not supplied

Wheezing and asthma in early childhood: an update.

Although asthma is the most common chronic disease in children, recent studies show that labeling this condition "asthma," especially in association with chronic wheezing, remains a matter of dispute. Nonetheless, data confirm that wheezing and asthma place great burdens on the caregivers of affected children. A principal source of information on diagnosis and treatment is the practical guide published by the National Asthma Education Prevention Program. The implications for nurses in the management of young children whose wheezing is chronic or who have been diagnosed as having asthma include a need for knowing the program guide's recommendations, assessing the child's family history, teaching primary caregivers an action plan, providing consistent asthma education, encouraging parents to evaluate the child's environment, and identifying related resources.

Age of Onset↗